Kathleen, great post. Great example of how a clinical practice guideline has been implemented into practice. It sounds like your organization has done a great job on steps to implement a guideline. Some key steps to implementing new guidelines are providing the right resources and education for evaluation, involving the stakeholders, and providing support (Jacobs, Jones, Gabella, Spring, & Brownson, 2012). It sounds as if your organization has done a great job of involving stakeholders and…
Introduction Amnioinfusion is a procedure in which a germ-free (sterile) saline solution is added into the uterus. This may be done for various reasons, including: To increase the amount of amniotic fluid around the baby when there is not enough (oligohydramnios). Amnioinfusion may be done before an ultrasound test so that the ultrasound pictures provide a better view of the baby. It may also be used to help provide better care for the baby if certain kinds of problems are found with its lungs,…
Imagine having appendicitis, unknowingly, it bursts in the middle of the day, and emergency surgery is needed. The pain before the surgery is so excruciating, and all that is desired is relief from that stabbing pressure in the right side of the stomach. Doctors surround and prep the patient for the operation. The patient is asked to count back from a number, while the anesthesiologist administers the anesthesia. The patient becomes completely unconscious, waking up hours later with no…
that the ratio neutrophils to lymphocytes can determine the complexity of PAD. The scientist performed a peripheral angiography using a catheter on 343 patients and separated them into four groups. They would not perform it for people who had known infections, inflammatory conditions, cancer, and diabetic ulcers on the lower extremities. The end of the catheters were placed over the aorto-iliac bifurcation.…
The title of Chief Nursing Officer (CNO) is one of high regard, influence, and inspiration. CNO’s represent nursing services at board meetings, manage nursing budgets, establish nursing policies and procedures, and create performance improvement activities. Their leadership role has a tremendous impact on nurses and their daily duties. To have a more positive impact on their nurses, CNO’s should enhance communication and appreciation of staff nurses and generate new nursing positions to aid with…
Physiological Effects of Monomorphic Ventricular Tachycardia Ventricular tachycardia (VT) is a disease of the heart, in which the heart’s normal rhythmic contraction is altered, changing the heart function (Ideker &Walcott, 1993). It is characterized by having a heartbeat that is too fast, although the disease itself is far more complex (Ideker & Walcott, 1993). Ventricular tachycardia often leads to ventricular fibrillation (VF), and together, they are among the most life threatening cardiac…
This weeks discussing provides the opportunity to identify medical specialists in medical terms, describe their specialty, and list details of the type work they do. In the medical field, there are specialist who specialize in a specific function in the diagnosis and medical treatment for patients. "Medical specialists are doctors who have completed advanced education and clinical training in a specific area of medicine (their specialty area) (Webmdcom, 2015)." For example: "A patient…
Fleming SE, Kim JH. A randomized controlled trial of ultrasound-guided peripherally inserted central catheters compared with standard radiograph in neonates. Journal of Perinatology. 2013;33(10):791–794. doi:10.1038/jp.2013.58. What problem(s) did the researchers study and why? The researchers studied if real-time ultrasound (RTUS) guidance could help properly place peripherally inserted central catheter (PICC) tips in infants. Researchers also wanted to see if RTUS could help reduce procedural…
indwelling catheters whenever possible and use strict aseptic technique when caring for the patient. Linton, A. (2007). Urologic Disorders. Introduction to Medical-Surgical Nursing. (pp. 912-913) To help limits introduction of bacteria into body and early detection of developing infection. Provide routine catheter care and promote meticulous perineal care to help reduces bacterial colonization and risk of ascending UTI. Keep urinary drainage system closed and remove indwelling catheter as…
to scuba divers using communication equipment has contributed to NOC developing speech mimicking capabilities. Due to these instances, NOC’s caretakers began recording his speech mimicking both under and above the surface of the water. Through these recordings, it was found that the rhythm of NOC’s speech amplitude and vocal bursts were similar to that of a human’s. Additionally, NOC would make, on average, three vocalizations per second with a break of 0.05 to 0.5 seconds between each.…